A Radiation Oncology Based Electronic Health Record in an Integrated Radiation Oncology Network

  • Athanasios Colonias Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA
  • David S. Parda Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA
  • Stephen M. Karlovits Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA
  • Russell Fuhrer Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA
  • Mark G. Trombetta Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA
  • Staci Strickland Allegheny General Hospital, Department of Radiation Oncology, West Penn Allegheny Health System Radiation Oncology Network, Pittsburgh, PA
  • Marc Luick Allegheny General Hospital, Department of Radiation Oncology, West Penn Allegheny Health System Radiation Oncology Network, Pittsburgh, PA
  • Richard Billy Allegheny General Hospital, Department of Radiation Oncology, West Penn Allegheny Health System Radiation Oncology Network, Pittsburgh, PA
  • T. Horrigan Allegheny General Hospital, Department of Radiation Oncology, West Penn Allegheny Health System Radiation Oncology Network, Pittsburgh, PA
  • E. Day Werts Drexel University College of Medicine, Allegheny Campus, Pittsburgh PA

Abstract

Purpose: The goal of this ongoing project is to develop and integrate a comprehensive electronic health record (EHR) throughout a multi-facility radiation oncology network to facilitate more efficient workflow and improve overall patient care and safety. Methodology: We required that the EHR provide pre-defined record and verify capability for radiation treatment while still providing a robust clinical health record. In 1996, we began to integrate the Local Area Network Treatment Information System (LANTISĀ®) across the West Penn Allegheny Radiation Oncology Network (currently including 9 sites). By 2001, we began modifying and expanding the assessment components and creating user-defined templates and have developed a comprehensive electronic health record across our network. Results: In addition to access to the technical record and verify information and imaging obtained for image-guided therapy, we designed and customized 6 modules according to our networks needs to facilitate information acquisition, tracking, and analysis as follows: 1) Demographics/scheduling; 2) Charge codes; 3) Transcription/clinical documents; 4) Clinical/technical assessments; 5) Physician orders 6) Quality assurance pathways. Each module was developed to acquire specific technical/clinical data prospectively in an efficient manner by various staff within the department in a format that facilitates data queries for outcomes/statistical analyses and promotes standardized quality guidelines resulting in a more efficient workflow and improved patient safety and care. Conclusions: Development of a comprehensive EHR across a radiation oncology network is feasible and can be customized to promote clinical/technical standards, facilitate outcomes studies, and improve communication and peer review. The EHR has improved patient care and network integration across a multi-facility radiation oncology system and has markedly reduced the flow and storage of paper across the network.
Published
28-09-2017
How to Cite
Colonias, A., Parda, D., Karlovits, S., Fuhrer, R., Trombetta, M., Strickland, S., Luick, M., Billy, R., Horrigan, T., & Werts, E. (2017). A Radiation Oncology Based Electronic Health Record in an Integrated Radiation Oncology Network. Journal of Radiation Oncology Informatics, 3(1), 3-11. https://doi.org/10.5166/jroi-3-1-16
Section
Articles